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1437170255
ASHOR LEWI ODISHO
SHREVEPORT, LA
NPI
1437170255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E4617)
Enumeration Date
2006-07-21
Last Update Date
2023-11-07
Business Address
ASHOR LEWI ODISHO MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
ASHOR LEWI ODISHO MD
131 WATERS EDGE DR
SHREVEPORT, LA 71106-7775
Phone number: 318-347-0567
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